Ms. Bridget Cornell Andrew
Physician Assistant (Medical)

Address: 1035 Alto St, La Familia Medical Center, Santa Fe, NM 87501-2406
Phone: 5059824425

Ms. Bridget Cornell Andrew (NPI# 1649279266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1649279266
Entity Type Individual
Full Name Ms. Bridget Cornell Andrew
Credential PA,MPH
Gender Female
Practice Address 1035 Alto St
La Familia Medical Center
Santa Fe
NM 87501-2406
Practice Telephone 5059824425
Practice Fax Number 5059826280
Mailing Address 1035 Alto St
La Familia Medical Center
Santa Fe
NM 87501-2406
Mailing Telephone 5059824425
Mailing Fax Number 5059826280
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2005-07-15
Last Update Date 2013-06-17

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363AM0700X Physician Assistant · Medical Physician Assistants & Advanced Practice Nursing Providers PA2009-043 NM
No 363AM0700X Physician Assistant · Medical Physician Assistants & Advanced Practice Nursing Providers 2822 CO
No 363AM0700X Physician Assistant · Medical Physician Assistants & Advanced Practice Nursing Providers 566 MT
No 363AM0700X Physician Assistant · Medical Physician Assistants & Advanced Practice Nursing Providers 005692-1 NY

Other Provider Identifier

State Identifier Issuer Type Code
NM Z4167 MEDICAID

Physician Overview

NPI 1649279266
PAC ID by PECOS 2860586963
Professional Enrollment ID I20070920000212
Full Name Bridget C Andrew
Organization Legal Name SANTA FE INDIAN HOSPITAL
Phone Number 5059889821
Gender F
Graduation Year 1996
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 7719883289
Number of Group Practice Members 15
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
320057 SANTA FE PHS INDIAN HOSPITAL
320002 CHRISTUS ST VINCENT REGIONAL MEDICAL CENTER

Office Location

Street Address 1035 ALTO ST
LA FAMILIA MEDICAL CENTER
City SANTA FE
State NM
Zip Code 87501-2406

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588106363 Kimberly M Lopez Nurse Practitioner 1035 Alto St, Santa Fe, NM 87501-2406 2016-11-10
1841661220 Sue E Minturn Health Educator 1035 Alto St, Santa Fe, NM 87501-2406 2015-10-12
1477922409 La Familia Medical Center Clinic/Center 1035 Alto St, Santa Fe, NM 87501-2406 2015-09-21
1487044194 Erica Burns Registered Nurse 1035 Alto St, Santa Fe, NM 87501-2406 2015-02-02
1710384383 La Familia Medical Center Clinic/Center 1035 Alto St, Santa Fe, NM 87501-2406 2014-11-26
1427454859 Janet Copeland Dietitian, Registered 1035 Alto St, Santa Fe, NM 87501-2406 2014-11-12
1245641836 Susan Frances Griggs Nurse Practitioner 1035 Alto St, Santa Fe, NM 87501-2406 2014-05-16
1376986620 Paula A Summar Counselor 1035 Alto St, Santa Fe, NM 87501-2406 2013-04-16
1295091007 Lauren Elyse Waltersdorf Family Medicine 1035 Alto St, Santa Fe, NM 87501-2406 2012-04-05
1700162344 Laura M Mccann Dietitian, Registered 1035 Alto St, Santa Fe, NM 87501-2406 2011-10-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841775327 Rasanjana Bhandari Behavior Technician 1505 Paseo De Conquistadora, Santa Fe, NM 87501 2018-10-01
1497102172 New Mexico Neurodiagnostics, LLC Clinic/Center 150 Washington Ave., Ste. #201-220, Office 224, Santa Fe, NM 87501 2016-05-23
1316325061 Serenity Wellness Center of Santa Fe, LLC Counselor 343 E Palace Ave, Santa Fe, NM 87501 2015-05-14
1902209497 Mdlive Medical Group Nm LLC Counselor 123 Marcy Street, Santa Fe, NM 87501 2014-09-29
1396154183 Julie Price Counselor 1 Montoya Cir, Santa Fe, NM 87501 2014-08-06
1053609487 Michael Shawn Haner Acupuncturist 909 Early St., Santa Fe, NM 87501 2011-07-19
1396045316 Dana Moore Counselor 950 Canyon Rd., Santa Fe, NM 87501 2010-10-25
1033434543 Anthony R Moya Social Worker 501 Franklin Ave Ofc 6, Santa Fe, NM 87501 2010-03-29
1346485695 Carla Kleefeld Counselor 650a Santa Fe Trail, Santa Fe, NM 87501 2008-12-15
1457516676 Leon Miller, M.d., Inc. Dermatology 839 C Paseo De Peralta, Santa Fe, NM 87501 2008-07-28
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871674911 April C. Grisetti Physician Assistant 460 Saint Michaels Dr Ste 1104, Santa Fe, NM 87505-7709 2006-10-17
1871673608 Bonnie J Giacchetti Physician Assistant 2055 Pacheco St Ste 600, Santa Fe, NM 87505 2006-10-16
1639192792 Sheila O'shea Gibbens Physician Assistant 820 Paseo Deperlta, Santa Fe, NM 87501-2233 2006-07-26
1740201672 Danny M Mays Physician Assistant 1650 Hospital Dr Ste 800, Santa Fe, NM 87505-4789 2006-07-23
1841217403 Wabanang Gaiashkibos Kuczek Physician Assistant 1600 Saint Michaels Dr, Santa Fe, NM 87505-7615 2006-07-17
1346201704 Timothy Busch Physician Assistant 1651 Galisteo St Ste 5, High Road Dermatology, Santa Fe, NM 87505-4752 2006-03-28
1730181942 William T Bacon Physician Assistant 1651 Galisteo St, Ste 4, Santa Fe, NM 87505-4752 2005-06-01
1225518277 Madeline Victoria Spence Physician Assistant 1640 Old Pecos Trl Ste H, Santa Fe, NM 87505-4777 2018-08-20
1669879771 Karen Conner Physician Assistant 1691 Galisteo St, Suite C, Santa Fe, NM 87505-4780 2014-12-04
1225457260 Forouz Jowkar LLC Physician Assistant 1925 Aspen Dr, # 100b, Santa Fe, NM 87505-5459 2014-04-07
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Competitor

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City SANTA FE
Zip Code 87501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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